| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $30.20 | $40.74 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $30.20 | $47.86 | $79.43 | |
MountainHealth Co-op
| Facility | $57.54 | $57.54 | $58.88 | |
MountainHealth Co-op
| Professional | $57.54 | $57.54 | $58.88 | |
Providence
| Facility | $18.20 | $32.36 | $74.13 | |
Providence
| Professional | $30.20 | $52.48 | $79.43 | |
United
| Professional | $2.69 | $17.78 | $30.90 |